Displaying 161581-161590 of 1611142 results.
ID:
161581
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161582
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161583
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161584
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161585
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161586
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161587
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161588
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161589
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161590
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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