Displaying 152461-152470 of 1611142 results.
ID:
152461
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152462
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152463
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152464
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152465
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152466
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152467
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152468
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152469
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152470
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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