Displaying 168721-168730 of 1611142 results.
ID:
168721
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168722
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168723
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168724
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168725
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168726
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168727
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168728
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168729
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168730
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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