Displaying 147051-147060 of 1611142 results.
ID:
147051
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147052
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
280
Qty Limit Days:
28
ID:
147053
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147054
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147055
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147056
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147057
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147058
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147059
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147060
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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