Displaying 160051-160060 of 1611142 results.
ID:
160051
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160052
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160053
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160054
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160055
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160056
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160057
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160058
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160059
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160060
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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