Displaying 151311-151320 of 1611142 results.
ID:
151311
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
151312
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151313
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151314
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151315
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151316
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151317
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151318
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151319
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151320
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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