Displaying 169581-169590 of 1611142 results.
ID:
169581
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169582
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169583
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169584
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169585
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169586
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169587
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169588
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169589
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169590
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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