Displaying 166761-166770 of 1611142 results.
ID:
166761
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166762
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166763
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166764
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166765
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166766
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166767
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166768
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166769
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166770
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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