Displaying 153321-153330 of 1611142 results.
ID:
153321
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153322
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153323
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153324
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2174818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
153325
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153326
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153327
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153328
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153329
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153330
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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