Displaying 161751-161760 of 1611142 results.
ID:
161751
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161752
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161753
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161754
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161755
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161756
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
161757
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161758
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161759
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161760
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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