Displaying 154741-154750 of 1611142 results.
ID:
154741
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154742
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154743
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154744
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154745
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154746
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154747
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154748
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154749
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154750
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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