Displaying 158521-158530 of 1611142 results.
ID:
158521
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158522
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158523
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158524
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158525
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158526
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158527
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158528
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158529
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158530
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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