Displaying 160041-160050 of 1611142 results.
ID:
160041
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160042
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160043
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160044
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160045
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160046
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160047
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160048
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160049
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160050
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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