Displaying 152801-152810 of 1611142 results.
ID:
152801
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152802
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152803
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
28
ID:
152804
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152805
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152806
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152807
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152808
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152809
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152810
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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