Displaying 169591-169600 of 1611142 results.
ID:
169591
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169592
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169593
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169594
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169595
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169596
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169597
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169598
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169599
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169600
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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