Displaying 161091-161100 of 1611142 results.
ID:
161091
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161092
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161093
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161094
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161095
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161096
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161097
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161098
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161099
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161100
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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