Displaying 168401-168410 of 1611142 results.
ID:
168401
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168402
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168403
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168404
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168405
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168406
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168407
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168408
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168409
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168410
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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