Displaying 167261-167270 of 1611142 results.
ID:
167261
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167262
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167263
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167264
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167265
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167266
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167267
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167268
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167269
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167270
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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