Displaying 151171-151180 of 1611142 results.
ID:
151171
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151172
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151173
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151174
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151175
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151176
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151177
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151178
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151179
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151180
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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