Displaying 169571-169580 of 1611142 results.
ID:
169571
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169572
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
169573
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
169574
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
169575
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169576
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169577
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169578
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169579
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169580
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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