Displaying 152001-152010 of 1611142 results.
ID:
152001
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152002
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152003
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152004
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152005
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152006
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152007
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152008
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152009
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152010
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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