Displaying 147841-147850 of 1611142 results.
ID:
147841
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147842
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147843
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147844
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147845
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147846
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147847
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147848
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147849
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147850
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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