Displaying 161411-161420 of 1611142 results.
ID:
161411
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161412
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161413
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161414
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161415
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161416
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161417
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161418
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161419
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161420
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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