Displaying 162891-162900 of 1611142 results.
ID:
162891
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162892
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162893
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162894
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162895
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162896
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162897
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162898
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162899
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162900
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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