Displaying 159221-159230 of 1611142 results.
ID:
159221
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159222
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159223
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159224
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159225
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159226
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159227
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159228
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159229
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159230
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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