Displaying 158881-158890 of 1611142 results.
ID:
158881
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158882
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158883
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158884
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158885
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158886
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158887
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158888
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158889
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158890
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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