Displaying 150811-150820 of 1611142 results.
ID:
150811
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150812
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150813
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
150814
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150815
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150816
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150817
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150818
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150819
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150820
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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