Displaying 154331-154340 of 1611142 results.
ID:
154331
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154332
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154333
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154334
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154335
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
154336
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154337
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
496
Qty Limit Days:
31
ID:
154338
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154339
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154340
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
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