Displaying 150101-150110 of 1611142 results.
ID:
150101
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150102
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150103
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
150104
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150105
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150106
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150107
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150108
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150109
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150110
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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