Displaying 151411-151420 of 1611142 results.
ID:
151411
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151412
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151413
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151414
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151415
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151416
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151417
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151418
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151419
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151420
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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