Displaying 161771-161780 of 1611142 results.
ID:
161771
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161772
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161773
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161774
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161775
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161776
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
161777
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
161778
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161779
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161780
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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