Displaying 161881-161890 of 1611142 results.
ID:
161881
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161882
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161883
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161884
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161885
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161886
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161887
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
161888
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
161889
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161890
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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