Displaying 152251-152260 of 1611142 results.
ID:
152251
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152252
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152253
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152254
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152255
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152256
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152257
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152258
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152259
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152260
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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