Displaying 161711-161720 of 1611142 results.
ID:
161711
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161712
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161713
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161714
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161715
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161716
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161717
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161718
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161719
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161720
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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