Displaying 151031-151040 of 1611142 results.
ID:
151031
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151032
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151033
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151034
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151035
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151036
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151037
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151038
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
151039
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
151040
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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