Displaying 160251-160260 of 1611142 results.
ID:
160251
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160252
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160253
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160254
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160255
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160256
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160257
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160258
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160259
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160260
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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