Displaying 169521-169530 of 1611142 results.
ID:
169521
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169522
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169523
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169524
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169525
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169526
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169527
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
169528
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169529
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169530
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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