Displaying 152481-152490 of 1611142 results.
ID:
152481
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152482
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152483
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152484
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152485
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152486
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152487
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152488
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
152489
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152490
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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