Displaying 159001-159010 of 1611142 results.
ID:
159001
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159002
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159003
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159004
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159005
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159006
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159007
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159008
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159009
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
159010
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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