Displaying 168271-168280 of 1611142 results.
ID:
168271
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168272
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168273
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
280
Qty Limit Days:
28
ID:
168274
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
168275
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
168276
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
168277
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
168278
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
168279
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168280
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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