Displaying 151511-151520 of 1611142 results.
ID:
151511
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151512
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151513
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151514
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151515
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151516
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151517
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151518
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151519
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151520
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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