Displaying 166231-166240 of 1611142 results.
ID:
166231
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
166232
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
166233
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
166234
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166235
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166236
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166237
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166238
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166239
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166240
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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