Displaying 163711-163720 of 1611142 results.
ID:
163711
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163712
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163713
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163714
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163715
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163716
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163717
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163718
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163719
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163720
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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