Displaying 149801-149810 of 1611142 results.
ID:
149801
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149802
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149803
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149804
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149805
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149806
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149807
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149808
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149809
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149810
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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