Displaying 151491-151500 of 1611142 results.
ID:
151491
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151492
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151493
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151494
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151495
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151496
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151497
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151498
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151499
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151500
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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