Displaying 159211-159220 of 1611142 results.
ID:
159211
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159212
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159213
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159214
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159215
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159216
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159217
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159218
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159219
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159220
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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