Displaying 151421-151430 of 1611142 results.
ID:
151421
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151422
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151423
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151424
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151425
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151426
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151427
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151428
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151429
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151430
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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