Displaying 153901-153910 of 1611142 results.
ID:
153901
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153902
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153903
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153904
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153905
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153906
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153907
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153908
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153909
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153910
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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