Displaying 150951-150960 of 1611142 results.
ID:
150951
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150952
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150953
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150954
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150955
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150956
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150957
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150958
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150959
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150960
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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