Displaying 163451-163460 of 1611142 results.
ID:
163451
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163452
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163453
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163454
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163455
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163456
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163457
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163458
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163459
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163460
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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