Displaying 153181-153190 of 1611142 results.
ID:
153181
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153182
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153183
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153184
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153185
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153186
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153187
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153188
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
153189
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153190
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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