Displaying 148611-148620 of 1611142 results.
ID:
148611
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148612
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148613
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148614
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148615
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148616
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148617
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148618
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148619
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148620
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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