Displaying 151481-151490 of 1611142 results.
ID:
151481
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151482
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151483
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475852
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151484
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151485
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151486
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351989
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151487
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404432
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151488
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151489
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151490
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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