Displaying 160241-160250 of 1611142 results.
ID:
160241
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160242
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160243
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
160244
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160245
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160246
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160247
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160248
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160249
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160250
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
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