Displaying 149491-149500 of 1611142 results.
ID:
149491
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149492
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149493
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149494
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149495
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149496
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149497
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149498
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149499
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149500
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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