Displaying 154571-154580 of 1611142 results.
ID:
154571
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154572
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154573
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154574
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154575
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154576
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154577
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
154578
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154579
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154580
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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