Displaying 154051-154060 of 1611142 results.
ID:
154051
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154052
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154053
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154054
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154055
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154056
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154057
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154058
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154059
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154060
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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