Displaying 159061-159070 of 1611142 results.
ID:
159061
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159062
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159063
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159064
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159065
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159066
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159067
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159068
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159069
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159070
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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