Displaying 163931-163940 of 1611142 results.
ID:
163931
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163932
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163933
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163934
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163935
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163936
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163937
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1248057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163938
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163939
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163940
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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