Displaying 148181-148190 of 1611142 results.
ID:
148181
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148182
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148183
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148184
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148185
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148186
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
148187
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148188
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148189
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148190
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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