Displaying 161731-161740 of 1611142 results.
ID:
161731
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161732
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161733
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
161734
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161735
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161736
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161737
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161738
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
161739
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161740
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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