Displaying 164611-164620 of 1611142 results.
ID:
164611
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164612
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164613
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164614
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164615
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164616
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164617
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164618
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164619
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164620
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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