Displaying 147551-147560 of 1611142 results.
ID:
147551
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147552
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147553
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147554
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147555
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147556
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147557
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147558
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147559
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147560
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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