Displaying 149961-149970 of 1611142 results.
ID:
149961
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149962
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149963
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149964
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149965
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149966
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149967
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149968
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149969
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149970
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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