Displaying 160081-160090 of 1611142 results.
ID:
160081
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160082
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160083
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160084
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160085
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160086
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160087
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160088
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160089
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
160090
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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