Displaying 149711-149720 of 1611142 results.
ID:
149711
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
149712
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
149713
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149714
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149715
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149716
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149717
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149718
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
149719
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
149720
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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