Displaying 160091-160100 of 1611142 results.
ID:
160091
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160092
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160093
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160094
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160095
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160096
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160097
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160098
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160099
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160100
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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