Displaying 159771-159780 of 1611142 results.
ID:
159771
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159772
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159773
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159774
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159775
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159776
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159777
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159778
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159779
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159780
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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