Displaying 148831-148840 of 1611142 results.
ID:
148831
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148832
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
ID:
148833
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148834
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148835
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148836
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148837
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148838
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148839
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148840
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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