Displaying 149121-149130 of 1611142 results.
ID:
149121
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
149122
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149123
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149124
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149125
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149126
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149127
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149128
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149129
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149130
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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