Displaying 148171-148180 of 1611142 results.
ID:
148171
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148172
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148173
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148174
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148175
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148176
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148177
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148178
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148179
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148180
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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