Displaying 169621-169630 of 1611142 results.
ID:
169621
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169622
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169623
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169624
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169625
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169626
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169627
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169628
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169629
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169630
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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