Displaying 145291-145300 of 1611142 results.
ID:
145291
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145292
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145293
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
145294
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
90
ID:
145295
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
145296
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
145297
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145298
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145299
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145300
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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