Displaying 152981-152990 of 1611142 results.
ID:
152981
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152982
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152983
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152984
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152985
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152986
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152987
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152988
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152989
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152990
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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