Displaying 161721-161730 of 1611142 results.
ID:
161721
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161722
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161723
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161724
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161725
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161726
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161727
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161728
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161729
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161730
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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