Displaying 151441-151450 of 1611142 results.
ID:
151441
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151442
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151443
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151444
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151445
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151446
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151447
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151448
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151449
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151450
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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