Displaying 160481-160490 of 1611142 results.
ID:
160481
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160482
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160483
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160484
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160485
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160486
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160487
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160488
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160489
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160490
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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