Displaying 161761-161770 of 1611142 results.
ID:
161761
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161762
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161763
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161764
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161765
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161766
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161767
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161768
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161769
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161770
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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