Displaying 151731-151740 of 1611142 results.
ID:
151731
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151732
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151733
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835909
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151734
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835911
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151735
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151736
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151737
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151738
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151739
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151740
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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