Displaying 150161-150170 of 1611142 results.
ID:
150161
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150162
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150163
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150164
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150165
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150166
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150167
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150168
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150169
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150170
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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