Displaying 148461-148470 of 1611142 results.
ID:
148461
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
148462
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
148463
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148464
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148465
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148466
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148467
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148468
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148469
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148470
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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