Displaying 154161-154170 of 1611142 results.
ID:
154161
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154162
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154163
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154164
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154165
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154166
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154167
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154168
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154169
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154170
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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