Displaying 169761-169770 of 1611142 results.
ID:
169761
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169762
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
169763
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
169764
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
169765
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169766
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
169767
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
169768
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
169769
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
169770
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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