Displaying 161391-161400 of 1611142 results.
ID:
161391
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161392
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161393
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161394
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161395
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161396
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161397
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161398
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161399
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161400
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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