Displaying 149731-149740 of 1611142 results.
ID:
149731
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149732
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
149733
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
149734
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149735
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149736
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149737
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149738
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149739
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149740
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
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