Displaying 147781-147790 of 1611142 results.
ID:
147781
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147782
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147783
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147784
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147785
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147786
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147787
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147788
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147789
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147790
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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