Displaying 150751-150760 of 1611142 results.
ID:
150751
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150752
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150753
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150754
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150755
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150756
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150757
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150758
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150759
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150760
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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