Displaying 153661-153670 of 1611142 results.
ID:
153661
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153662
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403841
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153663
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153664
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577080
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153665
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153666
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153667
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153668
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153669
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153670
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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