Displaying 167441-167450 of 1611142 results.
ID:
167441
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167442
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167443
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167444
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
167445
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
167446
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
167447
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167448
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
167449
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167450
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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