Displaying 150861-150870 of 1611142 results.
ID:
150861
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150862
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150863
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150864
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150865
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150866
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150867
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150868
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150869
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150870
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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