Displaying 166281-166290 of 1611142 results.
ID:
166281
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166282
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
166283
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
166284
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166285
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166286
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166287
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166288
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166289
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166290
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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