Displaying 159461-159470 of 1611142 results.
ID:
159461
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159462
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159463
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159464
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159465
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159466
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159467
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159468
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159469
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159470
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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