Displaying 149751-149760 of 1611142 results.
ID:
149751
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149752
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149753
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149754
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149755
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149756
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
149757
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149758
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
149759
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149760
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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