Displaying 164831-164840 of 1611142 results.
ID:
164831
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164832
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164833
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164834
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164835
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164836
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164837
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164838
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164839
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164840
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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