Displaying 149011-149020 of 1611142 results.
ID:
149011
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
149012
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
149013
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
149014
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
149015
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149016
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
149017
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149018
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149019
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149020
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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