Displaying 148351-148360 of 1611142 results.
ID:
148351
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
148352
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
148353
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
148354
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
148355
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
148356
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148357
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148358
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148359
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148360
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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