Displaying 161661-161670 of 1611142 results.
ID:
161661
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161662
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161663
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161664
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161665
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161666
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161667
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161668
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161669
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161670
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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