Displaying 154321-154330 of 1611142 results.
ID:
154321
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154322
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154323
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154324
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154325
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154326
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154327
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154328
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154329
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154330
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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