Displaying 169381-169390 of 1611142 results.
ID:
169381
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169382
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169383
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169384
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169385
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169386
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169387
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169388
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169389
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169390
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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