Displaying 161491-161500 of 1611142 results.
ID:
161491
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161492
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161493
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161494
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161495
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161496
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161497
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161498
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161499
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161500
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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