Displaying 166241-166250 of 1611142 results.
ID:
166241
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166242
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166243
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166244
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166245
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166246
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166247
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166248
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166249
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166250
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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