Displaying 166811-166820 of 1611142 results.
ID:
166811
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166812
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166813
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166814
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166815
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166816
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166817
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166818
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166819
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166820
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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