Displaying 161951-161960 of 1611142 results.
ID:
161951
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161952
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161953
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161954
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161955
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161956
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
161957
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161958
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161959
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161960
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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