Displaying 160361-160370 of 1611142 results.
ID:
160361
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160362
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160363
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160364
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160365
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160366
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160367
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160368
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160369
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160370
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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