Displaying 154541-154550 of 1611142 results.
ID:
154541
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013665
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154542
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154543
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154544
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
930
Qty Limit Days:
31
ID:
154545
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154546
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154547
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154548
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
629699
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154549
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
629695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154550
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
629697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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