Displaying 154251-154260 of 1611142 results.
ID:
154251
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154252
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154253
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
154254
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
154255
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
154256
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
154257
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
154258
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154259
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154260
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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