Displaying 154771-154780 of 1611142 results.
ID:
154771
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154772
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154773
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154774
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154775
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154776
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154777
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154778
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154779
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154780
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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