Displaying 159961-159970 of 1611142 results.
ID:
159961
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159962
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159963
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159964
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159965
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159966
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159967
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159968
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159969
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159970
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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