Displaying 148561-148570 of 1611142 results.
ID:
148561
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148562
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148563
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148564
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148565
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148566
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148567
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148568
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148569
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148570
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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