Displaying 149161-149170 of 1611142 results.
ID:
149161
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149162
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149163
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149164
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149165
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149166
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149167
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149168
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149169
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149170
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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