Displaying 159391-159400 of 1611142 results.
ID:
159391
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159392
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159393
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159394
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159395
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159396
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159397
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159398
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159399
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159400
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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