Displaying 45151-45160 of 1611142 results.
ID:
45151
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45152
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45153
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45154
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45155
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45156
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45157
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45158
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
45159
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
45160
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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