Displaying 150571-150580 of 1611142 results.
ID:
150571
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150572
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150573
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150574
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150575
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150576
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150577
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150578
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150579
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150580
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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