Displaying 152031-152040 of 1611142 results.
ID:
152031
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152032
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152033
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152034
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152035
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152036
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152037
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152038
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152039
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152040
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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