Displaying 166421-166430 of 1611142 results.
ID:
166421
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166422
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166423
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166424
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166425
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166426
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166427
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166428
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166429
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166430
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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