Displaying 150801-150810 of 1611142 results.
ID:
150801
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150802
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150803
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150804
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
150805
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
150806
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150807
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150808
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150809
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150810
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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