Displaying 151541-151550 of 1611142 results.
ID:
151541
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151542
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151543
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151544
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151545
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151546
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151547
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1804746
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151548
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1804750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151549
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151550
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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