Displaying 168661-168670 of 1611142 results.
ID:
168661
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168662
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168663
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168664
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168665
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168666
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168667
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168668
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
168669
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168670
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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