Displaying 159411-159420 of 1611142 results.
ID:
159411
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159412
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159413
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159414
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159415
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159416
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159417
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159418
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159419
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159420
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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