Displaying 160131-160140 of 1611142 results.
ID:
160131
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160132
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160133
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160134
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160135
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160136
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160137
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160138
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160139
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160140
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
30
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