Displaying 159841-159850 of 1611142 results.
ID:
159841
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159842
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159843
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159844
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159845
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159846
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159847
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159848
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159849
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159850
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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