Displaying 169811-169820 of 1611142 results.
ID:
169811
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169812
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169813
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169814
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
169815
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
169816
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169817
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169818
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169819
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169820
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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