Displaying 147851-147860 of 1611142 results.
ID:
147851
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147852
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147853
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147854
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147855
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147856
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147857
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147858
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
147859
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147860
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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