Displaying 148551-148560 of 1611142 results.
ID:
148551
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148552
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148553
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148554
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148555
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148556
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148557
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148558
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148559
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148560
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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