Displaying 150241-150250 of 1611142 results.
ID:
150241
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150242
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150243
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150244
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150245
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150246
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150247
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150248
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150249
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150250
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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