Displaying 150961-150970 of 1611142 results.
ID:
150961
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150962
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150963
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150964
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150965
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150966
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150967
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150968
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150969
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150970
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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