Displaying 149041-149050 of 1611142 results.
ID:
149041
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149042
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149043
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149044
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149045
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149046
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149047
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149048
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149049
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149050
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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