Displaying 148311-148320 of 1611142 results.
ID:
148311
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148312
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148313
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148314
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148315
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148316
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148317
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148318
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148319
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148320
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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