Displaying 158811-158820 of 1611142 results.
ID:
158811
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158812
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158813
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158814
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158815
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158816
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158817
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158818
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158819
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158820
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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