Displaying 153481-153490 of 1611142 results.
ID:
153481
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153482
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153483
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153484
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153485
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153486
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
153487
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153488
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153489
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153490
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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