Displaying 166781-166790 of 1611142 results.
ID:
166781
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166782
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166783
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166784
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166785
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166786
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166787
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166788
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166789
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166790
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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