Displaying 152591-152600 of 1611142 results.
ID:
152591
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152592
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152593
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152594
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152595
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152596
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152597
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152598
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152599
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152600
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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