Displaying 162731-162740 of 1611142 results.
ID:
162731
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162732
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162733
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162734
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162735
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162736
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162737
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162738
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162739
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162740
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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