Displaying 168311-168320 of 1611142 results.
ID:
168311
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168312
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168313
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168314
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168315
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168316
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168317
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168318
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168319
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168320
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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