Displaying 153201-153210 of 1611142 results.
ID:
153201
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153202
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153203
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153204
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153205
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153206
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153207
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153208
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153209
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153210
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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