Displaying 150541-150550 of 1611142 results.
ID:
150541
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150542
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150543
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150544
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150545
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150546
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150547
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150548
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
150549
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150550
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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