Displaying 149951-149960 of 1611142 results.
ID:
149951
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149952
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149953
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149954
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149955
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149956
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149957
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149958
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149959
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149960
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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