Displaying 165561-165570 of 1611142 results.
ID:
165561
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165562
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165563
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165564
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165565
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165566
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165567
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165568
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165569
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165570
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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