Displaying 151241-151250 of 1611142 results.
ID:
151241
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
151242
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
797061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151243
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
797065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151244
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
151245
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151246
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151247
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151248
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151249
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151250
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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