Displaying 161651-161660 of 1611142 results.
ID:
161651
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161652
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161653
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161654
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161655
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161656
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161657
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161658
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161659
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161660
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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