Displaying 152181-152190 of 1611142 results.
ID:
152181
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152182
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152183
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152184
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152185
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152186
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152187
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152188
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152189
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152190
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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