Displaying 166991-167000 of 1611142 results.
ID:
166991
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166992
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166993
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166994
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166995
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166996
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166997
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166998
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166999
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167000
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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