Displaying 167821-167830 of 1611142 results.
ID:
167821
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167822
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167823
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167824
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167825
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167826
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167827
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167828
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167829
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167830
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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