Displaying 150091-150100 of 1611142 results.
ID:
150091
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150092
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150093
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150094
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150095
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150096
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150097
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150098
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150099
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150100
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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