Displaying 167761-167770 of 1611142 results.
ID:
167761
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167762
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167763
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167764
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167765
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167766
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167767
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167768
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167769
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167770
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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