Displaying 159051-159060 of 1611142 results.
ID:
159051
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159052
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159053
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159054
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159055
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159056
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159057
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159058
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159059
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159060
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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