Displaying 148271-148280 of 1611142 results.
ID:
148271
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148272
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148273
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148274
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148275
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148276
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148277
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148278
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148279
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148280
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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