Displaying 159341-159350 of 1611142 results.
ID:
159341
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159342
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159343
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159344
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159345
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159346
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159347
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159348
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159349
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159350
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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