Displaying 149591-149600 of 1611142 results.
ID:
149591
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149592
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
780
Qty Limit Days:
30
ID:
149593
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149594
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149595
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149596
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149597
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
149598
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149599
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149600
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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