Displaying 167021-167030 of 1611142 results.
ID:
167021
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167022
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167023
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
794979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167024
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167025
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167026
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167027
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167028
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167029
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167030
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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