Displaying 153171-153180 of 1611142 results.
ID:
153171
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153172
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153173
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153174
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153175
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153176
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153177
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153178
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153179
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
153180
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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