Displaying 153981-153990 of 1611142 results.
ID:
153981
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153982
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153983
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153984
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153985
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153986
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153987
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153988
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153989
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153990
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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