Displaying 150781-150790 of 1611142 results.
ID:
150781
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150782
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150783
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150784
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150785
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150786
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150787
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150788
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150789
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150790
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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