Displaying 148621-148630 of 1611142 results.
ID:
148621
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148622
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148623
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148624
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
148625
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148626
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148627
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148628
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148629
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
148630
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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