Displaying 161971-161980 of 1611142 results.
ID:
161971
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161972
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161973
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161974
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161975
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161976
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161977
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161978
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161979
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161980
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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