Displaying 149051-149060 of 1611142 results.
ID:
149051
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149052
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
149053
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149054
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
149055
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
149056
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149057
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149058
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149059
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149060
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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