Displaying 152651-152660 of 1611142 results.
ID:
152651
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152652
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152653
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152654
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
152655
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152656
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152657
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152658
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152659
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152660
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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