Displaying 150231-150240 of 1611142 results.
ID:
150231
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150232
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150233
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150234
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150235
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150236
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150237
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150238
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150239
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150240
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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