Displaying 149391-149400 of 1611142 results.
ID:
149391
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149392
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149393
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149394
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149395
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149396
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149397
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
149398
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149399
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
149400
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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