Displaying 160931-160940 of 1611142 results.
ID:
160931
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160932
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160933
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160934
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160935
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160936
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160937
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160938
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160939
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160940
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
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