Displaying 162011-162020 of 1611142 results.
ID:
162011
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926331
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162012
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162013
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162014
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162015
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162016
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162017
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
162018
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162019
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162020
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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