Displaying 154671-154680 of 1611142 results.
ID:
154671
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154672
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154673
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154674
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154675
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154676
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154677
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154678
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154679
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154680
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
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