Displaying 148791-148800 of 1611142 results.
ID:
148791
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148792
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148793
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148794
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148795
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148796
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148797
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148798
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148799
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148800
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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