Displaying 159951-159960 of 1611142 results.
ID:
159951
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159952
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159953
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159954
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159955
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159956
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159957
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159958
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159959
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159960
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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