Displaying 161781-161790 of 1611142 results.
ID:
161781
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161782
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161783
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161784
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161785
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161786
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161787
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161788
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161789
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161790
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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