Displaying 161331-161340 of 1611142 results.
ID:
161331
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161332
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161333
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161334
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161335
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161336
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161337
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161338
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161339
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161340
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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