Displaying 160861-160870 of 1611142 results.
ID:
160861
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160862
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160863
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160864
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160865
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160866
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160867
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160868
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160869
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160870
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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