Displaying 151991-152000 of 1611142 results.
ID:
151991
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151992
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151993
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151994
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151995
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151996
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151997
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151998
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151999
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152000
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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