Displaying 161791-161800 of 1611142 results.
ID:
161791
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161792
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161793
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161794
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161795
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161796
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161797
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161798
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161799
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161800
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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