Displaying 153091-153100 of 1611142 results.
ID:
153091
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153092
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153093
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153094
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153095
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153096
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153097
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153098
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153099
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153100
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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