Displaying 165861-165870 of 1611142 results.
ID:
165861
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165862
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165863
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165864
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165865
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165866
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165867
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165868
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165869
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165870
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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