Displaying 160841-160850 of 1611142 results.
ID:
160841
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160842
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160843
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160844
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160845
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160846
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160847
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160848
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160849
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160850
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
745752
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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