Displaying 164121-164130 of 1611142 results.
ID:
164121
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164122
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164123
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164124
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164125
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164126
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164127
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164128
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164129
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164130
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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