Displaying 151021-151030 of 1611142 results.
ID:
151021
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151022
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151023
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151024
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151025
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151026
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151027
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151028
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151029
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
151030
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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