Displaying 148841-148850 of 1611142 results.
ID:
148841
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148842
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148843
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148844
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148845
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148846
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148847
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148848
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
148849
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148850
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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