Displaying 149921-149930 of 1611142 results.
ID:
149921
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149922
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149923
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149924
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149925
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149926
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149927
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149928
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149929
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149930
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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