Displaying 147541-147550 of 1611142 results.
ID:
147541
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147542
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147543
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147544
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147545
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147546
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
147547
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147548
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147549
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147550
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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