Displaying 148451-148460 of 1611142 results.
ID:
148451
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
148452
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
148453
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148454
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148455
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148456
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148457
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148458
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148459
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148460
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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