Displaying 152491-152500 of 1611142 results.
ID:
152491
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152492
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152493
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152494
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152495
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152496
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152497
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152498
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152499
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
152500
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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