Displaying 161011-161020 of 1611142 results.
ID:
161011
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161012
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161013
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161014
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161015
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161016
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161017
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161018
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161019
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161020
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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