Displaying 148751-148760 of 1611142 results.
ID:
148751
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148752
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148753
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148754
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148755
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148756
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148757
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148758
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148759
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148760
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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