Displaying 147791-147800 of 1611142 results.
ID:
147791
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147792
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147793
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147794
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147795
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147796
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
147797
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
147798
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
147799
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
147800
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
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