Displaying 159821-159830 of 1611142 results.
ID:
159821
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159822
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159823
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159824
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159825
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159826
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159827
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159828
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159829
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159830
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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