Displaying 148851-148860 of 1611142 results.
ID:
148851
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148852
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148853
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148854
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
148855
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148856
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148857
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148858
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148859
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148860
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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