Displaying 149821-149830 of 1611142 results.
ID:
149821
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149822
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
149823
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
149824
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
149825
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149826
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149827
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149828
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149829
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149830
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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