Displaying 153931-153940 of 1611142 results.
ID:
153931
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153932
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
153933
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153934
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153935
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153936
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153937
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153938
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153939
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153940
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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