Displaying 167161-167170 of 1611142 results.
ID:
167161
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167162
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
167163
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167164
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167165
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167166
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
167167
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
167168
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167169
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
167170
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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