Displaying 161341-161350 of 1611142 results.
ID:
161341
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161342
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161343
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161344
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161345
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161346
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161347
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161348
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161349
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161350
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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