Displaying 154511-154520 of 1611142 results.
ID:
154511
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154512
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154513
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154514
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154515
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154516
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154517
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154518
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154519
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154520
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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