Displaying 152661-152670 of 1611142 results.
ID:
152661
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152662
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152663
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152664
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152665
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152666
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152667
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152668
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152669
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812421
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152670
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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