Displaying 154311-154320 of 1611142 results.
ID:
154311
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154312
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154313
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154314
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154315
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154316
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154317
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154318
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154319
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154320
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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