Displaying 167621-167630 of 1611142 results.
ID:
167621
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167622
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167623
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167624
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167625
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167626
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167627
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
167628
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167629
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167630
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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