Displaying 163461-163470 of 1611142 results.
ID:
163461
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163462
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163463
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163464
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163465
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163466
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163467
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163468
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163469
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163470
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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