Displaying 167911-167920 of 1611142 results.
ID:
167911
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167912
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167913
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167914
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167915
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167916
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167917
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
167918
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167919
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167920
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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