Displaying 166821-166830 of 1611142 results.
ID:
166821
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166822
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166823
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166824
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166825
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166826
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166827
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166828
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
166829
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166830
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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