Displaying 167671-167680 of 1611142 results.
ID:
167671
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167672
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167673
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167674
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167675
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167676
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
167677
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
167678
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167679
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167680
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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