Displaying 161741-161750 of 1611142 results.
ID:
161741
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161742
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161743
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
161744
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
161745
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
161746
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161747
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161748
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161749
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161750
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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