Displaying 151-160 of 1611142 results.
ID:
151
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
156
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
ID:
157
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
159
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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