Displaying 153331-153340 of 1611142 results.
ID:
153331
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153332
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153333
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153334
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153335
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153336
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153337
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153338
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153339
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153340
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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