Displaying 150851-150860 of 1611142 results.
ID:
150851
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150852
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150853
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150854
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150855
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150856
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150857
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150858
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150859
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150860
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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