Displaying 160641-160650 of 1611142 results.
ID:
160641
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160642
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160643
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160644
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160645
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160646
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160647
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160648
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160649
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160650
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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