Displaying 166051-166060 of 1611142 results.
ID:
166051
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166052
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166053
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166054
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166055
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166056
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166057
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166058
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166059
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166060
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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