Displaying 151111-151120 of 1611142 results.
ID:
151111
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
151112
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151113
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151114
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151115
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151116
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151117
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
151118
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151119
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151120
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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