Displaying 160141-160150 of 1611142 results.
ID:
160141
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
160142
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160143
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160144
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160145
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160146
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160147
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160148
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160149
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160150
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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