Displaying 154621-154630 of 1611142 results.
ID:
154621
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154622
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154623
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154624
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154625
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154626
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154627
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154628
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154629
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154630
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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