Displaying 153751-153760 of 1611142 results.
ID:
153751
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153752
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153753
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153754
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153755
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153756
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153757
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153758
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153759
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153760
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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