Displaying 149421-149430 of 1611142 results.
ID:
149421
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
149422
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
149423
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149424
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149425
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149426
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149427
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149428
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149429
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149430
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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