Displaying 161381-161390 of 1611142 results.
ID:
161381
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161382
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161383
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161384
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
161385
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161386
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161387
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161388
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161389
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161390
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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