Displaying 161831-161840 of 1611142 results.
ID:
161831
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161832
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161833
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161834
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161835
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161836
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161837
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161838
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161839
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161840
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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