Displaying 154501-154510 of 1611142 results.
ID:
154501
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154502
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154503
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154504
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154505
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154506
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154507
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154508
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154509
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154510
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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