Displaying 165101-165110 of 1611142 results.
ID:
165101
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165102
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165103
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165104
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165105
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165106
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165107
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165108
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165109
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
165110
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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