Displaying 150391-150400 of 1611142 results.
ID:
150391
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150392
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150393
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150394
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150395
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150396
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150397
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150398
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150399
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150400
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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