Displaying 161321-161330 of 1611142 results.
ID:
161321
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161322
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161323
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161324
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161325
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161326
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161327
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161328
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
161329
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
161330
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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