Displaying 152891-152900 of 1611142 results.
ID:
152891
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152892
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152893
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152894
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152895
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152896
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152897
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
152898
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152899
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152900
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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