Displaying 148541-148550 of 1611142 results.
ID:
148541
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148542
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148543
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148544
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148545
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148546
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148547
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148548
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148549
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148550
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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