Displaying 155401-155410 of 1611142 results.
ID:
155401
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155402
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155403
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155404
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155405
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155406
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155407
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155408
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155409
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155410
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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