Displaying 159551-159560 of 1611142 results.
ID:
159551
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159552
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159553
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159554
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159555
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159556
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159557
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159558
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
159559
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159560
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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