Displaying 168461-168470 of 1611142 results.
ID:
168461
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168462
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168463
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
168464
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168465
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168466
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168467
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168468
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168469
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
168470
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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