Displaying 158621-158630 of 1611142 results.
ID:
158621
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158622
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158623
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158624
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158625
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158626
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158627
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158628
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158629
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158630
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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