Displaying 149631-149640 of 1611142 results.
ID:
149631
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149632
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149633
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149634
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149635
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149636
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
ID:
149637
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149638
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149639
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149640
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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