Displaying 118161-118170 of 1611142 results.
ID:
118161
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118162
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118163
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118164
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118165
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118166
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118167
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118168
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118169
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118170
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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