Displaying 168521-168530 of 1611142 results.
ID:
168521
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168522
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168523
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168524
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168525
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168526
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168527
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168528
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168529
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168530
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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