Displaying 161261-161270 of 1611142 results.
ID:
161261
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161262
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161263
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161264
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161265
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161266
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161267
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161268
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161269
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161270
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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