Displaying 159901-159910 of 1611142 results.
ID:
159901
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159902
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159903
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159904
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159905
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159906
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159907
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159908
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159909
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159910
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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