Displaying 166871-166880 of 1611142 results.
ID:
166871
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166872
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166873
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
166874
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166875
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166876
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166877
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166878
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166879
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166880
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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