Displaying 153941-153950 of 1611142 results.
ID:
153941
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153942
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153943
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153944
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153945
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153946
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153947
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153948
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153949
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153950
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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