Displaying 155031-155040 of 1611142 results.
ID:
155031
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155032
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155033
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155034
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155035
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155036
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155037
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155038
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155039
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155040
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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