Displaying 147481-147490 of 1611142 results.
ID:
147481
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
147482
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147483
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147484
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147485
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147486
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147487
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147488
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147489
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147490
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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