Displaying 167211-167220 of 1611142 results.
ID:
167211
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167212
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167213
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167214
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167215
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167216
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167217
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167218
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167219
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167220
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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