Displaying 167221-167230 of 1611142 results.
ID:
167221
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167222
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167223
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167224
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167225
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167226
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167227
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167228
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167229
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
167230
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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