Displaying 151461-151470 of 1611142 results.
ID:
151461
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151462
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151463
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151464
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828541
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151465
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151466
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151467
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151468
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151469
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151470
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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