Displaying 169011-169020 of 1611142 results.
ID:
169011
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169012
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169013
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169014
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169015
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169016
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169017
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169018
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169019
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169020
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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