Displaying 148501-148510 of 1611142 results.
ID:
148501
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148502
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
148503
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148504
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148505
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148506
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148507
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148508
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148509
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148510
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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