Displaying 169751-169760 of 1611142 results.
ID:
169751
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169752
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169753
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169754
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169755
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169756
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169757
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
169758
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169759
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169760
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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