Displaying 148061-148070 of 1611142 results.
ID:
148061
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148062
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148063
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148064
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148065
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148066
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148067
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148068
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148069
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148070
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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