Displaying 167811-167820 of 1611142 results.
ID:
167811
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167812
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167813
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167814
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167815
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167816
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167817
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167818
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167819
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167820
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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