Displaying 158931-158940 of 1611142 results.
ID:
158931
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158932
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158933
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158934
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158935
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158936
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158937
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
158938
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158939
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158940
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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