Displaying 154551-154560 of 1611142 results.
ID:
154551
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154552
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154553
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858372
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154554
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154555
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154556
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154557
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154558
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154559
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540890
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154560
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
31
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