Displaying 147371-147380 of 1611142 results.
ID:
147371
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147372
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147373
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147374
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147375
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147376
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147377
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147378
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147379
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147380
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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