Displaying 150881-150890 of 1611142 results.
ID:
150881
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150882
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150883
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
150884
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150885
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150886
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150887
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150888
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
150889
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150890
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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