Displaying 145731-145740 of 1611142 results.
ID:
145731
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145732
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
145733
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145734
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145735
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145736
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145737
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145738
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145739
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145740
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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