Displaying 150981-150990 of 1611142 results.
ID:
150981
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150982
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150983
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150984
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150985
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150986
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150987
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150988
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150989
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
150990
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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