Displaying 147921-147930 of 1611142 results.
ID:
147921
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147922
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147923
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147924
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147925
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147926
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147927
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147928
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147929
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
147930
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
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