Displaying 153291-153300 of 1611142 results.
ID:
153291
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153292
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153293
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153294
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153295
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153296
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153297
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153298
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153299
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153300
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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