Displaying 151961-151970 of 1611142 results.
ID:
151961
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151962
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151963
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151964
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151965
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151966
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151967
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151968
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151969
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151970
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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