Displaying 168131-168140 of 1611142 results.
ID:
168131
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168132
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168133
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168134
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168135
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168136
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168137
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168138
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168139
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168140
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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