Displaying 165961-165970 of 1611142 results.
ID:
165961
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165962
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165963
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165964
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165965
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165966
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165967
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165968
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
165969
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165970
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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