Displaying 161611-161620 of 1611142 results.
ID:
161611
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161612
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161613
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161614
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
161615
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161616
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161617
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161618
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161619
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161620
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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