Displaying 161081-161090 of 1611142 results.
ID:
161081
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161082
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161083
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161084
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161085
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161086
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161087
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161088
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161089
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
161090
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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