Displaying 153681-153690 of 1611142 results.
ID:
153681
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153682
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153683
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153684
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153685
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153686
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153687
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153688
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153689
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2286281
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153690
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2286290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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