Displaying 151841-151850 of 1611142 results.
ID:
151841
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151842
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151843
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151844
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151845
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151846
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151847
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151848
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151849
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151850
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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