Displaying 166041-166050 of 1611142 results.
ID:
166041
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166042
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166043
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166044
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166045
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166046
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166047
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166048
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166049
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166050
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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