Displaying 150011-150020 of 1611142 results.
ID:
150011
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150012
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
150013
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150014
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150015
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150016
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150017
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150018
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150019
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150020
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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