Displaying 152201-152210 of 1611142 results.
ID:
152201
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152202
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152203
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152204
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152205
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152206
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152207
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152208
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152209
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152210
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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