Displaying 160991-161000 of 1611142 results.
ID:
160991
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160992
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160993
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160994
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160995
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160996
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160997
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160998
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160999
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161000
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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