Displaying 148401-148410 of 1611142 results.
ID:
148401
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148402
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148403
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148404
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148405
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148406
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148407
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148408
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148409
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148410
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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