Displaying 160191-160200 of 1611142 results.
ID:
160191
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160192
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160193
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160194
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160195
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160196
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160197
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160198
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160199
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160200
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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