Displaying 161541-161550 of 1611142 results.
ID:
161541
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161542
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161543
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161544
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161545
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161546
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161547
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161548
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161549
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161550
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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