Displaying 148121-148130 of 1611142 results.
ID:
148121
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
148122
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
148123
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148124
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148125
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148126
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
148127
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
148128
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148129
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148130
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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