Displaying 150271-150280 of 1611142 results.
ID:
150271
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150272
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150273
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150274
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150275
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
150276
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150277
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150278
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150279
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150280
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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