Displaying 161401-161410 of 1611142 results.
ID:
161401
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161402
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161403
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161404
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161405
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161406
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161407
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161408
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161409
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161410
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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