Displaying 160751-160760 of 1611142 results.
ID:
160751
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
160752
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160753
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160754
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160755
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160756
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160757
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160758
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160759
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160760
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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