Displaying 153991-154000 of 1611142 results.
ID:
153991
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153992
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153993
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153994
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153995
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153996
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153997
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153998
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153999
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154000
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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