Displaying 147971-147980 of 1611142 results.
ID:
147971
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
147972
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147973
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147974
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
147975
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147976
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147977
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147978
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147979
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147980
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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