Displaying 150341-150350 of 1611142 results.
ID:
150341
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150342
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150343
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150344
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150345
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150346
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150347
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150348
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150349
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150350
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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