Displaying 159021-159030 of 1611142 results.
ID:
159021
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159022
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159023
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159024
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159025
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159026
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159027
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159028
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5400
Qty Limit Days:
30
ID:
159029
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159030
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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