Displaying 167031-167040 of 1611142 results.
ID:
167031
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167032
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167033
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167034
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167035
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
167036
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
167037
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
167038
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167039
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167040
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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