Displaying 147861-147870 of 1611142 results.
ID:
147861
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147862
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147863
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147864
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147865
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147866
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147867
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147868
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147869
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147870
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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