Displaying 165261-165270 of 1611142 results.
ID:
165261
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165262
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165263
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165264
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165265
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165266
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165267
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165268
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165269
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165270
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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