Displaying 151501-151510 of 1611142 results.
ID:
151501
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151502
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151503
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151504
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151505
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151506
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151507
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151508
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151509
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151510
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
31
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