Displaying 167251-167260 of 1611142 results.
ID:
167251
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167252
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167253
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167254
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167255
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167256
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167257
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167258
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167259
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167260
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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