Displaying 159651-159660 of 1611142 results.
ID:
159651
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159652
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159653
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159654
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159655
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159656
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159657
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159658
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159659
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159660
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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