Displaying 152631-152640 of 1611142 results.
ID:
152631
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152632
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152633
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152634
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152635
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152636
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152637
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152638
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152639
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152640
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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