Displaying 167421-167430 of 1611142 results.
ID:
167421
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167422
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167423
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167424
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167425
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167426
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167427
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167428
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167429
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167430
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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