Displaying 167561-167570 of 1611142 results.
ID:
167561
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167562
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167563
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167564
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167565
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167566
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167567
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167568
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167569
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167570
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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