Displaying 154451-154460 of 1611142 results.
ID:
154451
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154452
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154453
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154454
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154455
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154456
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154457
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154458
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154459
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154460
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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