Displaying 151251-151260 of 1611142 results.
ID:
151251
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151252
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151253
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151254
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151255
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151256
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151257
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151258
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151259
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151260
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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