Displaying 148631-148640 of 1611142 results.
ID:
148631
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148632
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148633
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148634
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148635
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148636
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148637
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
148638
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
148639
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148640
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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