Displaying 145251-145260 of 1611142 results.
ID:
145251
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
145252
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145253
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
145254
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145255
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
145256
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
145257
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145258
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145259
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145260
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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