Displaying 166061-166070 of 1611142 results.
ID:
166061
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166062
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166063
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166064
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166065
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166066
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166067
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166068
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166069
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166070
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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