Displaying 162661-162670 of 1611142 results.
ID:
162661
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162662
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162663
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162664
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162665
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162666
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162667
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162668
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162669
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162670
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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