Displaying 149611-149620 of 1611142 results.
ID:
149611
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
149612
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
149613
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
149614
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149615
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149616
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149617
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
149618
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
149619
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
149620
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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