Displaying 162201-162210 of 1611142 results.
ID:
162201
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162202
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162203
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162204
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162205
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162206
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162207
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162208
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162209
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162210
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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