Displaying 167431-167440 of 1611142 results.
ID:
167431
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167432
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
167433
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167434
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167435
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167436
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167437
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167438
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167439
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167440
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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