Displaying 150001-150010 of 1611142 results.
ID:
150001
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150002
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150003
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150004
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150005
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
150006
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150007
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150008
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150009
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150010
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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