Displaying 154221-154230 of 1611142 results.
ID:
154221
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154222
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154223
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154224
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154225
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154226
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
154227
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154228
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154229
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154230
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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