Displaying 162551-162560 of 1611142 results.
ID:
162551
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162552
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162553
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162554
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162555
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162556
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162557
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162558
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162559
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162560
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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