Displaying 152581-152590 of 1611142 results.
ID:
152581
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152582
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
152583
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
152584
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152585
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152586
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152587
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152588
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152589
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152590
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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