Displaying 161841-161850 of 1611142 results.
ID:
161841
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161842
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161843
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161844
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161845
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161846
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161847
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161848
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161849
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161850
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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