Displaying 152961-152970 of 1611142 results.
ID:
152961
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152962
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152963
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152964
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152965
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152966
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152967
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152968
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152969
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152970
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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