Displaying 153581-153590 of 1611142 results.
ID:
153581
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153582
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153583
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153584
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
153585
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
136
Qty Limit Days:
12
ID:
153586
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153587
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153588
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153589
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153590
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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