Displaying 167381-167390 of 1611142 results.
ID:
167381
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167382
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
167383
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167384
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
167385
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167386
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167387
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167388
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167389
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167390
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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