Displaying 153861-153870 of 1611142 results.
ID:
153861
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153862
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153863
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153864
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153865
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153866
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153867
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153868
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153869
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153870
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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