Displaying 149271-149280 of 1611142 results.
ID:
149271
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149272
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149273
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149274
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149275
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149276
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149277
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149278
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149279
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149280
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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