Displaying 167661-167670 of 1611142 results.
ID:
167661
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167662
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167663
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167664
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167665
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167666
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167667
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167668
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167669
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167670
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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