Displaying 160741-160750 of 1611142 results.
ID:
160741
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160742
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160743
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160744
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160745
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
160746
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160747
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160748
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160749
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
160750
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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