Displaying 147991-148000 of 1611142 results.
ID:
147991
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147992
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
147993
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147994
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147995
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147996
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147997
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147998
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147999
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148000
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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