Displaying 153571-153580 of 1611142 results.
ID:
153571
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153572
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153573
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153574
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153575
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153576
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
153577
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153578
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153579
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153580
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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