Displaying 160891-160900 of 1611142 results.
ID:
160891
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160892
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160893
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160894
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160895
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
160896
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160897
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160898
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160899
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160900
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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