Displaying 168531-168540 of 1611142 results.
ID:
168531
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168532
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168533
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168534
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168535
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168536
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168537
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168538
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168539
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168540
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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