Displaying 151341-151350 of 1611142 results.
ID:
151341
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151342
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151343
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151344
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
151345
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151346
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151347
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151348
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151349
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151350
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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