Displaying 150471-150480 of 1611142 results.
ID:
150471
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150472
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150473
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150474
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150475
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150476
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150477
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150478
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150479
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150480
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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