Displaying 168821-168830 of 1611142 results.
ID:
168821
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168822
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168823
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168824
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168825
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168826
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168827
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168828
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168829
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168830
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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