Displaying 159281-159290 of 1611142 results.
ID:
159281
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159282
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159283
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159284
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159285
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159286
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159287
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159288
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159289
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159290
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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