Displaying 161981-161990 of 1611142 results.
ID:
161981
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161982
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161983
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161984
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161985
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161986
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161987
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
967021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161988
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1248442
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161989
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
161990
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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