Displaying 166221-166230 of 1611142 results.
ID:
166221
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166222
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166223
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166224
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166225
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166226
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166227
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166228
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166229
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166230
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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