Displaying 151221-151230 of 1611142 results.
ID:
151221
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151222
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151223
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151224
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151225
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151226
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151227
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151228
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
151229
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
151230
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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