Displaying 159531-159540 of 1611142 results.
ID:
159531
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159532
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159533
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159534
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159535
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159536
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159537
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159538
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159539
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159540
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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