Displaying 146511-146520 of 1611142 results.
ID:
146511
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146512
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
146513
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146514
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146515
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146516
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146517
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146518
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146519
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146520
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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