Displaying 151831-151840 of 1611142 results.
ID:
151831
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151832
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151833
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151834
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151835
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151836
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151837
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151838
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151839
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151840
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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