Displaying 159401-159410 of 1611142 results.
ID:
159401
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159402
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159403
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159404
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159405
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159406
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159407
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159408
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159409
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159410
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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