Displaying 164231-164240 of 1611142 results.
ID:
164231
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164232
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164233
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164234
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164235
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164236
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164237
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164238
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164239
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164240
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
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