Displaying 169231-169240 of 1611142 results.
ID:
169231
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169232
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169233
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
169234
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169235
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169236
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169237
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169238
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169239
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169240
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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