Displaying 148281-148290 of 1611142 results.
ID:
148281
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5400
Qty Limit Days:
30
ID:
148282
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148283
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148284
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148285
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148286
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148287
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
148288
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148289
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148290
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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