Displaying 148571-148580 of 1611142 results.
ID:
148571
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148572
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148573
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148574
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148575
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148576
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148577
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148578
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148579
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148580
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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