Displaying 151181-151190 of 1611142 results.
ID:
151181
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151182
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151183
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
151184
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151185
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151186
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151187
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151188
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151189
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
151190
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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