Displaying 149861-149870 of 1611142 results.
ID:
149861
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149862
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149863
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149864
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149865
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149866
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149867
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149868
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149869
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149870
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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