Displaying 147241-147250 of 1611142 results.
ID:
147241
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147242
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
147243
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147244
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147245
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147246
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147247
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147248
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147249
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147250
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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