Displaying 162721-162730 of 1611142 results.
ID:
162721
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162722
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162723
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162724
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162725
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162726
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162727
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162728
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162729
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162730
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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