Displaying 159491-159500 of 1611142 results.
ID:
159491
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159492
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159493
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159494
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159495
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159496
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159497
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159498
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159499
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159500
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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