Displaying 152221-152230 of 1611142 results.
ID:
152221
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152222
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152223
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152224
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152225
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152226
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152227
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152228
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152229
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152230
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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