Displaying 160071-160080 of 1611142 results.
ID:
160071
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160072
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160073
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160074
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160075
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160076
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160077
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160078
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160079
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160080
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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