Displaying 149721-149730 of 1611142 results.
ID:
149721
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
149722
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
149723
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
149724
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149725
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
149726
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149727
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149728
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149729
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149730
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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