Displaying 165881-165890 of 1611142 results.
ID:
165881
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165882
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165883
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165884
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165885
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165886
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165887
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
165888
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
165889
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
165890
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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