Displaying 161051-161060 of 1611142 results.
ID:
161051
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161052
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161053
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161054
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161055
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161056
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161057
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161058
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161059
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161060
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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