Displaying 150841-150850 of 1611142 results.
ID:
150841
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150842
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150843
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150844
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150845
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150846
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150847
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150848
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150849
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150850
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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