Displaying 168031-168040 of 1611142 results.
ID:
168031
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168032
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168033
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168034
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
168035
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168036
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168037
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168038
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168039
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
168040
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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