Displaying 160271-160280 of 1611142 results.
ID:
160271
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160272
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160273
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160274
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160275
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160276
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160277
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160278
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160279
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160280
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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