Displaying 145391-145400 of 1611142 results.
ID:
145391
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
145392
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145393
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145394
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145395
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145396
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145397
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145398
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145399
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145400
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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