Displaying 160471-160480 of 1611142 results.
ID:
160471
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160472
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160473
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
30
ID:
160474
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160475
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160476
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160477
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160478
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160479
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160480
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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