Displaying 166491-166500 of 1611142 results.
ID:
166491
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166492
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166493
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166494
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166495
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166496
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166497
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166498
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166499
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166500
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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