Displaying 168581-168590 of 1611142 results.
ID:
168581
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
168582
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168583
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168584
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168585
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168586
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168587
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168588
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168589
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168590
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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