Displaying 151471-151480 of 1611142 results.
ID:
151471
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151472
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151473
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151474
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151475
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151476
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151477
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151478
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151479
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151480
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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