Displaying 160431-160440 of 1611142 results.
ID:
160431
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160432
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160433
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160434
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160435
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
160436
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160437
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160438
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160439
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160440
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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