Displaying 158911-158920 of 1611142 results.
ID:
158911
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158912
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158913
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158914
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158915
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158916
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158917
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158918
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158919
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158920
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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