Displaying 165471-165480 of 1611142 results.
ID:
165471
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165472
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165473
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165474
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165475
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165476
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165477
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165478
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165479
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165480
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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