Displaying 150761-150770 of 1611142 results.
ID:
150761
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150762
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150763
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150764
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150765
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150766
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150767
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150768
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150769
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150770
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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