Displaying 151571-151580 of 1611142 results.
ID:
151571
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151572
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151573
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151574
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151575
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151576
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
151577
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151578
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151579
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151580
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
31
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