Displaying 152391-152400 of 1611142 results.
ID:
152391
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152392
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861385
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152393
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152394
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152395
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152396
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152397
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152398
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
152399
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152400
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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