Displaying 149361-149370 of 1611142 results.
ID:
149361
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149362
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149363
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149364
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149365
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149366
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149367
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149368
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149369
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
149370
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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