Displaying 150651-150660 of 1611142 results.
ID:
150651
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150652
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150653
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
150654
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150655
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150656
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150657
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150658
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150659
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150660
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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