Displaying 152121-152130 of 1611142 results.
ID:
152121
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152122
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152123
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152124
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152125
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152126
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152127
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152128
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152129
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152130
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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