Displaying 149351-149360 of 1611142 results.
ID:
149351
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149352
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149353
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149354
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149355
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149356
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149357
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149358
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149359
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149360
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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