Displaying 161821-161830 of 1611142 results.
ID:
161821
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161822
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161823
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161824
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161825
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161826
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161827
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161828
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161829
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161830
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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