Displaying 150591-150600 of 1611142 results.
ID:
150591
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150592
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150593
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150594
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150595
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150596
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150597
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
150598
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
150599
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
150600
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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