Displaying 154911-154920 of 1611142 results.
ID:
154911
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154912
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154913
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059266
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154914
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154915
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946651
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154916
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154917
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154918
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154919
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154920
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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