Displaying 115151-115160 of 1611142 results.
ID:
115151
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
115152
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115153
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
115154
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
115155
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
115156
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
115157
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115158
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
115159
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
115160
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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