Displaying 159721-159730 of 1611142 results.
ID:
159721
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159722
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159723
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159724
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159725
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159726
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159727
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159728
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159729
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159730
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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