Displaying 163141-163150 of 1611142 results.
ID:
163141
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163142
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163143
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163144
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163145
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163146
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163147
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163148
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163149
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163150
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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