Displaying 161811-161820 of 1611142 results.
ID:
161811
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161812
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161813
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161814
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161815
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161816
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161817
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161818
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161819
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161820
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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