Displaying 149571-149580 of 1611142 results.
ID:
149571
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149572
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149573
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149574
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149575
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149576
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149577
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149578
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149579
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149580
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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