Displaying 152291-152300 of 1611142 results.
ID:
152291
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152292
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152293
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152294
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
152295
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152296
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152297
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152298
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152299
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152300
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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