Displaying 149971-149980 of 1611142 results.
ID:
149971
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149972
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
149973
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
149974
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149975
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149976
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149977
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149978
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149979
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
149980
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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