Displaying 153701-153710 of 1611142 results.
ID:
153701
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153702
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153703
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153704
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153705
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
656137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153706
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153707
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706960
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153708
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153709
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153710
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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