Displaying 147491-147500 of 1611142 results.
ID:
147491
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147492
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147493
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147494
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147495
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147496
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147497
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147498
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
147499
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147500
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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