Displaying 150421-150430 of 1611142 results.
ID:
150421
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150422
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150423
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150424
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150425
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150426
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150427
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150428
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150429
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
150430
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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