Displaying 169561-169570 of 1611142 results.
ID:
169561
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169562
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169563
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169564
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169565
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169566
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169567
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169568
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169569
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169570
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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