Displaying 150631-150640 of 1611142 results.
ID:
150631
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150632
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150633
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150634
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150635
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150636
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150637
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150638
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150639
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
150640
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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