Displaying 152241-152250 of 1611142 results.
ID:
152241
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152242
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152243
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152244
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152245
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152246
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152247
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152248
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152249
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152250
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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