Displaying 166081-166090 of 1611142 results.
ID:
166081
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166082
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166083
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166084
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166085
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166086
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166087
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166088
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166089
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166090
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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