Displaying 168021-168030 of 1611142 results.
ID:
168021
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168022
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168023
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
ID:
168024
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168025
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168026
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168027
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168028
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168029
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168030
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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