Displaying 151261-151270 of 1611142 results.
ID:
151261
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151262
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151263
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151264
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151265
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151266
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151267
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151268
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151269
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151270
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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