Displaying 158951-158960 of 1611142 results.
ID:
158951
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158952
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158953
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158954
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158955
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158956
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158957
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158958
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158959
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158960
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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