Displaying 168781-168790 of 1611142 results.
ID:
168781
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168782
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168783
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168784
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168785
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168786
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168787
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168788
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168789
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168790
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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