Displaying 148191-148200 of 1611142 results.
ID:
148191
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148192
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148193
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148194
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148195
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
148196
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
148197
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
148198
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148199
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148200
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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