Displaying 166571-166580 of 1611142 results.
ID:
166571
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166572
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166573
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166574
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166575
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166576
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
166577
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166578
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
166579
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166580
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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