Displaying 161361-161370 of 1611142 results.
ID:
161361
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
161362
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
161363
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
161364
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161365
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161366
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161367
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161368
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161369
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161370
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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