Displaying 148951-148960 of 1611142 results.
ID:
148951
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
148952
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148953
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
148954
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148955
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148956
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148957
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148958
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148959
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148960
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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