Displaying 148341-148350 of 1611142 results.
ID:
148341
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148342
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148343
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148344
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148345
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148346
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148347
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148348
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148349
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148350
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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