Displaying 147821-147830 of 1611142 results.
ID:
147821
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147822
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147823
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147824
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147825
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147826
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147827
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147828
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147829
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147830
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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