Displaying 147391-147400 of 1611142 results.
ID:
147391
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147392
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147393
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147394
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147395
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147396
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147397
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147398
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147399
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
147400
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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