Displaying 153641-153650 of 1611142 results.
ID:
153641
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153642
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153643
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153644
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153645
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153646
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153647
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153648
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153649
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153650
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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