Displaying 153871-153880 of 1611142 results.
ID:
153871
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153872
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153873
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153874
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153875
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153876
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153877
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153878
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153879
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153880
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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