Displaying 153591-153600 of 1611142 results.
ID:
153591
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153592
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153593
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153594
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153595
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
28
ID:
153596
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
28
ID:
153597
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153598
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153599
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153600
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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