Displaying 158511-158520 of 1611142 results.
ID:
158511
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158512
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158513
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158514
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158515
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158516
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926331
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158517
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158518
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158519
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158520
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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