Displaying 153951-153960 of 1611142 results.
ID:
153951
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153952
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153953
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153954
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153955
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153956
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153957
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153958
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153959
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153960
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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