Displaying 153121-153130 of 1611142 results.
ID:
153121
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153122
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153123
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153124
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153125
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153126
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153127
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153128
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153129
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153130
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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