Displaying 148581-148590 of 1611142 results.
ID:
148581
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148582
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148583
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148584
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148585
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148586
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148587
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148588
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148589
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148590
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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