Displaying 147881-147890 of 1611142 results.
ID:
147881
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147882
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147883
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147884
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
147885
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147886
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147887
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147888
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147889
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147890
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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