Displaying 161021-161030 of 1611142 results.
ID:
161021
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161022
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161023
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161024
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161025
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161026
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161027
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161028
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161029
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161030
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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