Displaying 152011-152020 of 1611142 results.
ID:
152011
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152012
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152013
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152014
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152015
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152016
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152017
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152018
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152019
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152020
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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