Displaying 167781-167790 of 1611142 results.
ID:
167781
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167782
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167783
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167784
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167785
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
167786
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
167787
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
167788
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
167789
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
167790
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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