Displaying 161931-161940 of 1611142 results.
ID:
161931
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161932
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161933
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161934
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161935
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161936
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161937
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161938
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161939
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
161940
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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