Displaying 150151-150160 of 1611142 results.
ID:
150151
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150152
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150153
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150154
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150155
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150156
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150157
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150158
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150159
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150160
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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