Displaying 159351-159360 of 1611142 results.
ID:
159351
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159352
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159353
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159354
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159355
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159356
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159357
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159358
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159359
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159360
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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