Displaying 146991-147000 of 1611142 results.
ID:
146991
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146992
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146993
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
146994
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
146995
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
146996
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
146997
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
146998
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146999
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147000
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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