Displaying 151191-151200 of 1611142 results.
ID:
151191
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151192
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151193
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151194
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151195
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151196
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151197
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151198
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151199
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151200
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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