Displaying 167071-167080 of 1611142 results.
ID:
167071
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167072
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
167073
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
167074
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
167075
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167076
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167077
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167078
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167079
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167080
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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