Displaying 169821-169830 of 1611142 results.
ID:
169821
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169822
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169823
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169824
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169825
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
169826
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169827
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
169828
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169829
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169830
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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