Displaying 149541-149550 of 1611142 results.
ID:
149541
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149542
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
149543
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149544
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149545
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149546
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149547
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149548
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149549
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149550
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
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