Displaying 159571-159580 of 1611142 results.
ID:
159571
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159572
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159573
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
ID:
159574
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159575
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159576
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159577
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159578
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159579
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159580
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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