Displaying 161141-161150 of 1611142 results.
ID:
161141
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161142
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161143
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161144
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161145
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161146
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161147
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161148
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161149
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161150
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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