Displaying 165501-165510 of 1611142 results.
ID:
165501
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165502
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
165503
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165504
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165505
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165506
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165507
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165508
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165509
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165510
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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