Displaying 161621-161630 of 1611142 results.
ID:
161621
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161622
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161623
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161624
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161625
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161626
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161627
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161628
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161629
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161630
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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