Displaying 147331-147340 of 1611142 results.
ID:
147331
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147332
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147333
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147334
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147335
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147336
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147337
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147338
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147339
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147340
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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