Displaying 167531-167540 of 1611142 results.
ID:
167531
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167532
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167533
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167534
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167535
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167536
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167537
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167538
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167539
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167540
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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