Displaying 151401-151410 of 1611142 results.
ID:
151401
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151402
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151403
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151404
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151405
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151406
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151407
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
151408
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151409
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151410
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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