Displaying 161131-161140 of 1611142 results.
ID:
161131
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161132
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161133
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161134
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161135
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161136
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161137
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161138
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161139
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161140
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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