Displaying 166211-166220 of 1611142 results.
ID:
166211
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166212
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166213
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166214
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166215
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166216
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166217
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166218
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166219
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166220
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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