Displaying 166591-166600 of 1611142 results.
ID:
166591
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166592
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166593
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166594
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166595
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166596
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166597
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166598
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166599
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166600
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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