Displaying 148711-148720 of 1611142 results.
ID:
148711
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148712
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148713
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148714
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148715
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148716
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148717
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148718
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148719
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148720
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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