Displaying 166971-166980 of 1611142 results.
ID:
166971
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166972
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166973
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166974
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166975
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166976
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166977
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166978
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166979
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166980
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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