Displaying 166141-166150 of 1611142 results.
ID:
166141
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166142
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166143
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166144
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166145
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166146
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166147
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166148
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166149
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166150
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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