Displaying 152751-152760 of 1611142 results.
ID:
152751
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152752
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152753
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152754
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152755
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152756
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152757
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
152758
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152759
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152760
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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