Displaying 161161-161170 of 1611142 results.
ID:
161161
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161162
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161163
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161164
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161165
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161166
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161167
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161168
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161169
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161170
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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