Displaying 154761-154770 of 1611142 results.
ID:
154761
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154762
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154763
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154764
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154765
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154766
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
31
ID:
154767
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154768
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154769
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013662
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154770
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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