Displaying 169161-169170 of 1611142 results.
ID:
169161
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169162
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169163
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169164
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169165
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169166
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169167
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169168
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169169
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169170
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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