Displaying 151891-151900 of 1611142 results.
ID:
151891
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151892
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151893
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151894
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151895
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151896
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151897
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
151898
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
151899
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151900
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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