Displaying 153721-153730 of 1611142 results.
ID:
153721
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153722
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153723
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153724
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153725
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153726
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153727
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153728
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153729
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153730
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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