Displaying 147941-147950 of 1611142 results.
ID:
147941
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147942
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147943
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147944
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147945
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197860
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147946
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197861
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147947
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147948
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147949
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147950
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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