Displaying 148381-148390 of 1611142 results.
ID:
148381
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148382
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
148383
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
148384
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148385
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148386
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148387
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148388
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148389
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148390
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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