Displaying 155501-155510 of 1611142 results.
ID:
155501
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155502
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155503
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155504
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155505
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155506
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155507
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155508
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155509
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155510
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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