Displaying 152931-152940 of 1611142 results.
ID:
152931
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152932
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152933
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152934
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152935
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
152936
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
152937
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152938
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152939
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152940
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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