Displaying 151321-151330 of 1611142 results.
ID:
151321
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151322
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151323
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151324
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151325
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
151326
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
151327
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
151328
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151329
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151330
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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