Displaying 152681-152690 of 1611142 results.
ID:
152681
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152682
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152683
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152684
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152685
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152686
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152687
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152688
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152689
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152690
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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