Displaying 154811-154820 of 1611142 results.
ID:
154811
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154812
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154813
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
365
ID:
154814
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154815
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
154816
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049558
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154817
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154818
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154819
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154820
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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