Displaying 147931-147940 of 1611142 results.
ID:
147931
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
147932
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147933
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147934
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147935
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147936
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147937
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147938
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147939
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147940
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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