Displaying 152921-152930 of 1611142 results.
ID:
152921
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152922
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152923
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152924
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152925
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152926
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152927
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152928
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152929
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152930
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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