Displaying 150511-150520 of 1611142 results.
ID:
150511
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150512
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150513
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150514
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150515
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150516
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150517
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150518
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150519
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150520
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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