Displaying 152991-153000 of 1611142 results.
ID:
152991
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152992
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152993
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152994
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152995
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152996
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152997
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152998
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152999
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153000
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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