Displaying 148531-148540 of 1611142 results.
ID:
148531
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148532
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148533
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148534
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148535
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148536
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148537
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148538
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148539
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148540
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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