Displaying 166631-166640 of 1611142 results.
ID:
166631
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166632
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166633
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166634
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166635
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166636
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166637
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166638
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166639
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166640
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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