Displaying 169551-169560 of 1611142 results.
ID:
169551
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169552
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169553
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169554
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169555
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169556
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169557
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
169558
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
169559
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
169560
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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