Displaying 151901-151910 of 1611142 results.
ID:
151901
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151902
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151903
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151904
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151905
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151906
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
151907
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151908
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
151909
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
151910
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
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