Displaying 150741-150750 of 1611142 results.
ID:
150741
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150742
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150743
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150744
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150745
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150746
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150747
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150748
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150749
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150750
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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