Displaying 159541-159550 of 1611142 results.
ID:
159541
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159542
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159543
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159544
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159545
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159546
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159547
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159548
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159549
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159550
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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