Displaying 150351-150360 of 1611142 results.
ID:
150351
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150352
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150353
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150354
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150355
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150356
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150357
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150358
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150359
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150360
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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