Displaying 145401-145410 of 1611142 results.
ID:
145401
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
894814
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145402
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892554
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
145403
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145404
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145405
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145406
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145407
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145408
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145409
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145410
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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