Displaying 167141-167150 of 1611142 results.
ID:
167141
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167142
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167143
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167144
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167145
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
167146
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
ID:
167147
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167148
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167149
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167150
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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