Displaying 161281-161290 of 1611142 results.
ID:
161281
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161282
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
161283
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161284
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
161285
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161286
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161287
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161288
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161289
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161290
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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