Displaying 154431-154440 of 1611142 results.
ID:
154431
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154432
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154433
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154434
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154435
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154436
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154437
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154438
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154439
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154440
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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