Displaying 152771-152780 of 1611142 results.
ID:
152771
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152772
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152773
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152774
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152775
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152776
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152777
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152778
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152779
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152780
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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