Displaying 169281-169290 of 1611142 results.
ID:
169281
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169282
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169283
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169284
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169285
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169286
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169287
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169288
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169289
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169290
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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