Displaying 150381-150390 of 1611142 results.
ID:
150381
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150382
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150383
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150384
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150385
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
150386
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
150387
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
150388
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150389
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150390
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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