Displaying 168421-168430 of 1611142 results.
ID:
168421
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168422
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168423
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168424
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168425
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168426
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168427
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168428
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
168429
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168430
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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