Displaying 160021-160030 of 1611142 results.
ID:
160021
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160022
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160023
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160024
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160025
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160026
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160027
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160028
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160029
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160030
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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