Displaying 154641-154650 of 1611142 results.
ID:
154641
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154642
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154643
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154644
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
154645
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154646
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154647
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154648
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154649
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154650
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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