Displaying 167691-167700 of 1611142 results.
ID:
167691
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167692
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167693
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167694
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167695
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167696
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167697
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167698
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167699
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
167700
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
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