Displaying 161671-161680 of 1611142 results.
ID:
161671
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161672
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161673
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161674
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161675
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161676
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161677
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161678
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161679
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161680
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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