Displaying 169781-169790 of 1611142 results.
ID:
169781
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169782
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169783
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169784
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169785
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169786
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169787
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169788
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169789
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169790
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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