Displaying 150491-150500 of 1611142 results.
ID:
150491
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150492
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150493
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150494
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150495
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150496
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150497
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150498
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150499
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150500
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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