Displaying 154241-154250 of 1611142 results.
ID:
154241
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154242
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154243
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154244
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154245
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154246
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154247
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154248
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154249
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154250
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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