Displaying 153621-153630 of 1611142 results.
ID:
153621
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153622
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153623
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153624
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
153625
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153626
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153627
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153628
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153629
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153630
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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