Displaying 155011-155020 of 1611142 results.
ID:
155011
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155012
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155013
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
155014
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155015
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155016
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155017
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155018
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155019
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155020
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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