Displaying 148521-148530 of 1611142 results.
ID:
148521
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148522
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148523
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148524
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148525
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148526
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148527
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148528
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148529
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148530
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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