Displaying 169631-169640 of 1611142 results.
ID:
169631
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169632
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169633
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169634
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
169635
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169636
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169637
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169638
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169639
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169640
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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