Displaying 163021-163030 of 1611142 results.
ID:
163021
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163022
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163023
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163024
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163025
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163026
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163027
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163028
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163029
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163030
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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