Displaying 153921-153930 of 1611142 results.
ID:
153921
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
31
ID:
153922
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153923
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153924
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153925
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153926
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153927
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153928
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153929
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153930
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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