Displaying 149321-149330 of 1611142 results.
ID:
149321
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149322
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149323
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149324
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149325
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149326
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149327
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149328
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149329
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149330
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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