Displaying 153141-153150 of 1611142 results.
ID:
153141
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153142
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153143
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153144
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153145
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153146
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153147
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153148
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153149
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153150
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
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