Displaying 149481-149490 of 1611142 results.
ID:
149481
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149482
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149483
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149484
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149485
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149486
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149487
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149488
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149489
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149490
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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