Displaying 166471-166480 of 1611142 results.
ID:
166471
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166472
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
166473
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166474
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
166475
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166476
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
166477
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
166478
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166479
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166480
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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