Displaying 152171-152180 of 1611142 results.
ID:
152171
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
637551
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152172
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
237367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152173
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152174
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152175
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152176
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152177
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152178
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152179
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152180
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
204466
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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