Displaying 147721-147730 of 1611142 results.
ID:
147721
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
147722
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
147723
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147724
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
147725
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
147726
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147727
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147728
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147729
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147730
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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