Displaying 165951-165960 of 1611142 results.
ID:
165951
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165952
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165953
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165954
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165955
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165956
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165957
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165958
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165959
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165960
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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