Displaying 163311-163320 of 1611142 results.
ID:
163311
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163312
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163313
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163314
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163315
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163316
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163317
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163318
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163319
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163320
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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