Displaying 147011-147020 of 1611142 results.
ID:
147011
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147012
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147013
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147014
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147015
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147016
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147017
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147018
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147019
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147020
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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