Displaying 151921-151930 of 1611142 results.
ID:
151921
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151922
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151923
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151924
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151925
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151926
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151927
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151928
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
151929
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151930
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
119
Qty Limit Days:
31
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