Displaying 162711-162720 of 1611142 results.
ID:
162711
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162712
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162713
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162714
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162715
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162716
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162717
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162718
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162719
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162720
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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