Displaying 151611-151620 of 1611142 results.
ID:
151611
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151612
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151613
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151614
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151615
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151616
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151617
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151618
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151619
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151620
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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