Displaying 148291-148300 of 1611142 results.
ID:
148291
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148292
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148293
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148294
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148295
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148296
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148297
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148298
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148299
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148300
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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