Displaying 151051-151060 of 1611142 results.
ID:
151051
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151052
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151053
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151054
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151055
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151056
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151057
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151058
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151059
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151060
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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