Displaying 159141-159150 of 1611142 results.
ID:
159141
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159142
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159143
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159144
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159145
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159146
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159147
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159148
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159149
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159150
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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