Displaying 149331-149340 of 1611142 results.
ID:
149331
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149332
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149333
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149334
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149335
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149336
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149337
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149338
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149339
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149340
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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