Displaying 148721-148730 of 1611142 results.
ID:
148721
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148722
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148723
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148724
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148725
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148726
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148727
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148728
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148729
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148730
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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