Displaying 161461-161470 of 1611142 results.
ID:
161461
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161462
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161463
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161464
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161465
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161466
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161467
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161468
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161469
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161470
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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