Displaying 148511-148520 of 1611142 results.
ID:
148511
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148512
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148513
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148514
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148515
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148516
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148517
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148518
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148519
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148520
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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