Displaying 165311-165320 of 1611142 results.
ID:
165311
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165312
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165313
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165314
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165315
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165316
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165317
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165318
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165319
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165320
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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