Displaying 153531-153540 of 1611142 results.
ID:
153531
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153532
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153533
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153534
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153535
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153536
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153537
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153538
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153539
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153540
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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