Displaying 151601-151610 of 1611142 results.
ID:
151601
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151602
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151603
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151604
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151605
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151606
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151607
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151608
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151609
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151610
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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