Displaying 161641-161650 of 1611142 results.
ID:
161641
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161642
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161643
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161644
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161645
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161646
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161647
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161648
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161649
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161650
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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