Displaying 154821-154830 of 1611142 results.
ID:
154821
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154822
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154823
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154824
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
154825
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154826
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154827
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154828
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154829
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154830
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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