Displaying 147741-147750 of 1611142 results.
ID:
147741
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147742
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147743
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147744
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147745
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147746
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
147747
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147748
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147749
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147750
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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