Displaying 159261-159270 of 1611142 results.
ID:
159261
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159262
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159263
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159264
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159265
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159266
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159267
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159268
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159269
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159270
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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