Displaying 161801-161810 of 1611142 results.
ID:
161801
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161802
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161803
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161804
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161805
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161806
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161807
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161808
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161809
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
161810
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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