Displaying 159321-159330 of 1611142 results.
ID:
159321
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159322
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159323
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159324
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159325
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159326
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159327
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159328
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159329
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159330
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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