Displaying 161531-161540 of 1611142 results.
ID:
161531
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161532
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161533
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161534
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161535
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161536
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161537
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161538
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161539
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161540
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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