Displaying 152281-152290 of 1611142 results.
ID:
152281
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152282
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152283
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152284
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152285
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152286
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152287
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152288
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152289
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152290
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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