Displaying 149061-149070 of 1611142 results.
ID:
149061
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149062
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149063
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
209002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149064
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
208420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149065
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149066
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149067
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149068
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149069
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149070
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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