Displaying 152501-152510 of 1611142 results.
ID:
152501
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152502
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152503
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152504
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152505
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152506
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152507
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152508
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152509
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152510
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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