Displaying 168831-168840 of 1611142 results.
ID:
168831
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168832
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168833
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168834
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168835
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168836
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168837
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168838
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168839
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168840
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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