Displaying 161471-161480 of 1611142 results.
ID:
161471
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161472
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161473
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161474
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161475
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161476
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161477
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161478
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161479
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161480
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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