Displaying 154841-154850 of 1611142 results.
ID:
154841
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154842
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154843
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154844
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154845
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154846
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154847
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2393593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154848
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154849
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154850
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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