Displaying 168911-168920 of 1611142 results.
ID:
168911
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168912
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168913
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168914
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168915
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168916
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168917
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168918
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168919
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168920
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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