Displaying 147521-147530 of 1611142 results.
ID:
147521
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
147522
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147523
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
147524
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147525
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147526
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147527
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147528
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147529
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147530
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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