Displaying 166411-166420 of 1611142 results.
ID:
166411
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166412
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166413
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166414
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166415
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166416
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166417
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166418
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166419
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166420
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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