Displaying 153191-153200 of 1611142 results.
ID:
153191
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153192
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153193
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153194
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153195
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153196
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153197
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153198
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153199
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153200
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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