Displaying 161521-161530 of 1611142 results.
ID:
161521
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161522
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161523
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161524
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161525
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161526
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161527
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161528
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161529
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161530
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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