Displaying 151141-151150 of 1611142 results.
ID:
151141
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151142
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151143
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151144
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151145
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151146
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151147
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151148
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151149
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151150
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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