Displaying 166921-166930 of 1611142 results.
ID:
166921
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166922
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166923
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166924
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166925
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166926
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166927
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166928
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166929
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166930
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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