Displaying 151161-151170 of 1611142 results.
ID:
151161
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151162
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151163
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151164
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151165
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151166
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151167
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151168
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151169
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151170
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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