Displaying 151741-151750 of 1611142 results.
ID:
151741
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308972
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151742
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151743
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151744
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151745
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151746
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151747
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151748
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151749
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151750
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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