Displaying 152881-152890 of 1611142 results.
ID:
152881
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152882
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152883
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152884
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152885
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152886
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152887
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152888
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152889
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152890
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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