Displaying 152431-152440 of 1611142 results.
ID:
152431
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152432
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152433
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152434
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
152435
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152436
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152437
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152438
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152439
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152440
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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