Displaying 160061-160070 of 1611142 results.
ID:
160061
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160062
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160063
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160064
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160065
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160066
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160067
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160068
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160069
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160070
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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