Displaying 151911-151920 of 1611142 results.
ID:
151911
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151912
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151913
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151914
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151915
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151916
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151917
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151918
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151919
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151920
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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