Displaying 148251-148260 of 1611142 results.
ID:
148251
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148252
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148253
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148254
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148255
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148256
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148257
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148258
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148259
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148260
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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