Displaying 150301-150310 of 1611142 results.
ID:
150301
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150302
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150303
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150304
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150305
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150306
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150307
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150308
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150309
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
150310
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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