Displaying 152911-152920 of 1611142 results.
ID:
152911
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152912
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152913
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152914
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152915
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152916
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152917
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152918
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152919
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197718
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152920
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197719
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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