Displaying 160001-160010 of 1611142 results.
ID:
160001
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160002
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160003
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160004
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160005
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160006
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160007
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160008
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160009
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160010
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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