Displaying 167581-167590 of 1611142 results.
ID:
167581
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167582
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
167583
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167584
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167585
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167586
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167587
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167588
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167589
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167590
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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