Displaying 169731-169740 of 1611142 results.
ID:
169731
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169732
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169733
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169734
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169735
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169736
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169737
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
169738
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
169739
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169740
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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