Displaying 20151-20160 of 1611142 results.
ID:
20151
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
20152
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20153
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20154
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20155
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20156
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20157
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20158
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20159
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20160
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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