Displaying 160281-160290 of 1611142 results.
ID:
160281
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160282
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160283
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160284
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160285
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160286
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160287
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160288
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160289
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160290
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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