Displaying 148391-148400 of 1611142 results.
ID:
148391
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148392
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
148393
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148394
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148395
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148396
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148397
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148398
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148399
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148400
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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