Displaying 144421-144430 of 1611142 results.
ID:
144421
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
144422
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
144423
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
144424
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144425
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144426
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144427
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144428
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144429
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144430
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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