Displaying 1671-1680 of 1611142 results.
ID:
1671
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
1672
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1673
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1674
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1675
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1676
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1677
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1678
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1679
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1680
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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