Displaying 150791-150800 of 1611142 results.
ID:
150791
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150792
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150793
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150794
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150795
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150796
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150797
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150798
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150799
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150800
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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