Displaying 151091-151100 of 1611142 results.
ID:
151091
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151092
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151093
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151094
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151095
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151096
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151097
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151098
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151099
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151100
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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