Displaying 153511-153520 of 1611142 results.
ID:
153511
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153512
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153513
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153514
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153515
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153516
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153517
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153518
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153519
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153520
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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