Displaying 148331-148340 of 1611142 results.
ID:
148331
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148332
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148333
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148334
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148335
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148336
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148337
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148338
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148339
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148340
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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