Displaying 146791-146800 of 1611142 results.
ID:
146791
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146792
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146793
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146794
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146795
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146796
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
146797
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
146798
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146799
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146800
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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